Fusion Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

004019 Issued in GA

Legal business name

FUSION PHYSICAL THERAPY, INC

Practice address

11660 Alpharetta Hwy Ste 115
Roswell, GA 30076-3872

Phone

(770) 992-4001

Fax

(770) 992-4095

NPI assigned

Apr 22, 2013

Last updated

Jul 1, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Doyle Smith, PTNPI 1417936618

Title

Owner

Phone

(404) 379-6191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Doyle Smith, PT

  • Orthopedic Physical Therapist
  • Roswell, GA
  • NPI 1417936618
  Medicare reassignment Care Compare group NPD Authorized official
• Luisa Fernanda Gonzalez, PT, MSPT

  • Physical Therapist
  • Roswell, GA
  • NPI 1720329196
  Medicare reassignment Care Compare group NPD
• Barbara Johnston

  • Physical Therapist
  • Roswell, GA
  • NPI 1447369707
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1437593464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763872",
            "telephone_number": "770-992-4001",
            "fax_number": "770-992-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763872",
            "telephone_number": "770-992-4001",
            "fax_number": "770-992-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-379-6191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "004019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Frost
• Amy Fuhrer, CCC-SLP
• Full Spectrum ABA of Georgia LLC
• Thomas Scott Fuller, AA-C
• Edward Joseph Furey, OD
• Shriya R Gaddam, MD
• Kelsey Gagne, MSOTRL
• Cassidy Gaillard
• Amanda Michelle Gaines, LMSW
• Breon Gaines, LGPC

• Physical Therapy Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.